{"id":2038,"date":"2012-08-02T10:05:29","date_gmt":"2012-08-02T18:05:29","guid":{"rendered":"http:\/\/www.nancyrhine.com\/?p=2038"},"modified":"2012-12-18T13:47:25","modified_gmt":"2012-12-18T21:47:25","slug":"therapy-and-integrative-care-contributes-to-reducing-depression-in-older-people","status":"publish","type":"post","link":"https:\/\/www.nancyrhine.com\/2012\/08\/02\/therapy-and-integrative-care-contributes-to-reducing-depression-in-older-people\/","title":{"rendered":"Therapy and Integrative Care Contributes to Reducing Depression in Older People"},"content":{"rendered":"<h2>Therapy and Integrative Care Contributes to Reducing Depression in Older People<\/h2>\n<p> <\/p>\n<p>I recently blogged about the potential benefits of geriatric counseling for older individuals and their families.<\/p>\n<p> <\/p>\n<p><a href=\"http:\/\/www.nancyrhine.com\/wp-content\/uploads\/2012\/08\/newoldage_main.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-2039\" title=\"newoldage_main\" src=\"http:\/\/www.nancyrhine.com\/wp-content\/uploads\/2012\/08\/newoldage_main-150x140.png\" alt=\"\" width=\"150\" height=\"140\" \/><\/a>Then my husband sent me a link to this July 25 article from the wonderful New York Times blog<strong><a href=\"http:\/\/newoldage.blogs.nytimes.com\/\">“The New Old Age”<\/a>\u00a0<\/strong>called\u00a0<strong><a href=\"http:\/\/newoldage.blogs.nytimes.com\/2012\/07\/25\/more-older-people-treated-for-depression\/\">\u201cMore Older People Treated for Depression.\u201d<\/a>\u00a0<\/strong>Click on the link to read the entire piece. Some relevant quotes are listed below.<\/p>\n<p> <\/p>\n<ul>\n<li>\u201cFor years, mental health specialists lamented that depression was seriously under-diagnosed and under-treated in the elderly. Laypeople saw it not as a disease but as an inevitable part of aging. Doctors missed it because\u00a0<strong>depression didn’t always look the way it did in younger patients<\/strong>– less sadness and weepiness, more physical symptoms and disengagement. Older people themselves often rejected help because mental illness carried a stigma.\u201d<\/li>\n<\/ul>\n<p> <\/p>\n<ul>\n<li>\u201cNot anymore.\u00a0<strong>Over the past decade, \u2018we’ve seen a really big increase in the recognition of depression and the initiation of treatment<\/strong>,\u2019 said Dr. Un\u00fctzer, a geriatric psychiatrist now at the University of Washington.\u00a0<strong>\u2018The bad news is that a lot of these folks aren’t a lot better.'”<\/strong><\/li>\n<\/ul>\n<p><strong><br \/>\n<\/strong><\/p>\n<ul>\n<li><strong>\u201cOne apparent explanation: the setting<\/strong>. A great majority of older people seek treatment through their primary care doctors, few of whom are able to offer much more than a prescription. One approach that has proved successful is to move more\u00a0<strong>comprehensive care<\/strong>\u00a0for late-life depression into existing offices and clinics.<\/li>\n<\/ul>\n<p> <\/p>\n<ul>\n<li>\u201cAmong 1,800 depressed people over age 60, a group randomly assigned to collaborative care showed far greater improvement. After a year,<strong>\u00a045 percent had at least a 50 percent reduction in depressive symptoms, compared with that dismal 19 percent in usual care.\u00a0<\/strong>They reported\u00a0<strong>less functional impairment, greater quality of life.\u201d<\/strong><\/li>\n<\/ul>\n<p><strong><br \/>\n<\/strong><\/p>\n<ul>\n<li>\u201cThere’s an advocacy role for family members to play. Talking to a primary care doctor may be a good way to start treating depression, but in many cases that’s not where to stop.\u201d<\/li>\n<\/ul>\n<p> <\/p>\n<ul>\n<li>In one personal story cited in the blog article, a depressed elderly woman who has not found effective help begins to receive\u00a0<strong>treatment in a comprehensive care center\u00a0<\/strong>and from a<strong>therapist who visits her twice weekly in her assisted living apartment<\/strong>.\u00a0<strong>“It has turned back the clock 10 years,” states her adult daughter.<\/strong><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Therapy and Integrative Care Contributes to Reducing Depression in Older People I recently blogged about the potential benefits of geriatric counseling for older individuals and their families. Then my husband sent me a link to this July 25 article from the wonderful New York Times blog“The New Old Age”\u00a0called\u00a0\u201cMore Older People Treated for […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2}},"categories":[1],"tags":[],"class_list":["post-2038","post","type-post","status-publish","format-standard","hentry","category-general"],"jetpack_publicize_connections":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Therapy and Integrative Care Contributes to Reducing Depression in Older People - Nancy Rhine, MS, LMFT, CPG<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.nancyrhine.com\/2012\/08\/02\/therapy-and-integrative-care-contributes-to-reducing-depression-in-older-people\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Therapy and Integrative Care Contributes to Reducing Depression in Older People - Nancy Rhine, MS, LMFT, CPG\" \/>\n<meta property=\"og:description\" content=\"Therapy and Integrative Care Contributes to Reducing Depression in Older People I recently blogged about the potential benefits of geriatric counseling for older individuals and their families. Then my husband sent me a link to this July 25 article from the wonderful New York Times blog“The New Old Age”\u00a0called\u00a0\u201cMore Older People Treated for […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.nancyrhine.com\/2012\/08\/02\/therapy-and-integrative-care-contributes-to-reducing-depression-in-older-people\/\" \/>\n<meta property=\"og:site_name\" content=\"Nancy Rhine, MS, LMFT, CPG\" \/>\n<meta property=\"article:published_time\" content=\"2012-08-02T18:05:29+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2012-12-18T21:47:25+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/www.nancyrhine.com\/wp-content\/uploads\/2012\/08\/newoldage_main-150x140.png\" \/>\n<meta name=\"author\" content=\"Nancy Rhine, MS, LMFT\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Nancy Rhine, MS, LMFT\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.nancyrhine.com\/2012\/08\/02\/therapy-and-integrative-care-contributes-to-reducing-depression-in-older-people\/\",\"url\":\"https:\/\/www.nancyrhine.com\/2012\/08\/02\/therapy-and-integrative-care-contributes-to-reducing-depression-in-older-people\/\",\"name\":\"Therapy and Integrative Care Contributes to Reducing Depression in Older People - 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